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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �5 0 3 Pac,i(�a ►�ve_u..u� �v2rett 98 2o i <br /> PROJECT ADDRESS <br /> Owne�� Mail Address City State/Zip Phone <br /> C.tdC�r-c.u. 15o�i �au��li. V1reh.Ue �eYLk{` I�V� 9°�2d -�25.'169.�.��I�a <br /> Tenanl Mail Address Ciry Slate/Zip Phone <br /> Iwlcr�-t�.ef,�4.�hnoloqt'e� 1�1� ��25• Ib'-�kS}•�4� L�J►wwoo, 1�98vPri �125•�1�1�•►3'1� <br /> Electrical Conlraclor Mail Address Cily Slate/Zip Phone <br /> In�T�QTra99� .T1n � �IDS'I• `�S <br /> Slate License Number Contracl Prico ol Work <br /> Tod�l �dA-vl.l%(., <br /> Proposed Use of Duild � Conlact Peison (Plan Review) <br /> Description of Woric fo Oe Done: �,}�f�}�y,�,(�6'l.� 6.� ('D Nt MtN,�t�C{�h'o.�-S �*'b��kq <br /> �� �o�nL GA�1�.!}� le��r) I� I.OGATIAIIS . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE[ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heieby certily fhat I have mad and examined fhis applicafion nnd know fhe same fo be true and � � �� � C�U <br /> conect All provisions o//an�s and orAinances govemmg fhis type of work will bo completed U J <br /> �rhefher speaGed herein or noL The granting ol a permd does nof �resume to give authonty to <br /> violate or cancel fhe provisions ol any ofher stafe or local l�w regulating consfruc6on or Ihe <br /> perfonnance o/consliuc(ion. Thaf 1 ant aufhorileAby fhe o�ti�ner o/fhis property fo perfonn fhe <br /> work lor which appli afion is made and 1 comply�sifh fhe Slafe Cont�acfors Law 1827 RCtN and <br /> 296200 WAC. <br /> i/ <br /> / 7 3.�.ib <br /> Signature 1 Uate <br /> �� <br />